HomeMy WebLinkAboutE2019-0110 - MiscCERTIFICATE OF INSTALLATION NRCI-LTI-01-E
manor 1-ghung
Project Name: MacArthur Coup Parking Structure
Enforcement Agency: CITY OF NEWPORT BEACH
Peemit Numbu: E2019-0110
Project Address: 4680 MacArthur Court
City: Newpop Beech
Zip Code: 92660
DOCUMENTATION AUTHOR'SDECLARATION STATEMENT
1 certify that this Certificate of Acceptance document is accurate and complete. /f
Documentation Author Company Name �(t
David Thompson PENEvans, I., l'd60oQ o MACAC�PUfG�
Name
Address City Stanton
11660 Western Ave
Zip Code 90680 Phone (714)373-0050
CEA/ATT Certification Author Signature
Identification (iY 14�
applicable)
Date of Signature: 09/10/2019
RESPONSIBLE PERSON'S DECLARATION STATEMENT
f certify the Following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as myemployee or my agent and I have reviewed the information provided on this
Certificate of Acceptance.
2. 1 am eligible under Division 3 of the Business- and Professions Code in the applicable classification to accept responsibility for the system design, construction
or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the
declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the conshvction or installation Identified on this Certificate of Acceptance
complies with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable
acceptance requirements and procedures specified in Reference Nonresidential Appendix NA7.
4. I have confirmed that the Certificate(s) of Installation for the construction of installation identified on this Certificate of Acceptance has been completed and
is posted or made available with the building permit(s) issued for the building.
Certificate Acceptance shall be ormade available with the building permlt(s) issued for the
5. 1 will ensure that a completed, signed copy of this of posted,
building, and made available to the enforcement agency for all applicable Inspections. I understand that a signed copy of this Certificate of Acceptance is
required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance Company Name PEM Evans, Inc.
David Thompson
Person Name
Address: City
11660 western Ave Stanton
Zip Code 90680 ( Phone 714)373-0050
CSLB License Position with Company VP Operations
7037 p
(Title)
Responsible Acceptance Perso Signatu
Date of Signature: 09/10/2019
This is page 2 of 2
General Information
Building Type:
F Nonresidential r High -Rise Res (Common Area)
r Hotel/Motel (Common Area)
Phase of Construction:
r New Construction r Addition fJ Alteration
r Unconditioned
Scope of Responsibility
Enter the date -of -approval by- enforcement- agency of -the -Certificate of -Compliance -that -provides -the specifications for the energy- -
efficiency measures for the scope of responsibility for this Installation Certificate.
Date: 2/4/2019 12:00:00 AM
Document Title or Description Applicable Sheets or Pages, Tables, Schedules, etc, Date Approved By the Enforcement Agency
Electrical Drawings Sheet 1-6 2/27/2019 12:00:00 AM
This is i
/ V
INDOOR LIGHTING
NRCI_LTI_02_E
MacArthur Court Parking Structure
Orange
General Information
Building Type:
W Nonresidential r High -Rise Res (Common Area)
F Hotel/Motel (Common Area)
Phase of Construction:
r r r
New Construction Addition Alteration
r Unconditioned
Scope of Responsibility
Enter the date of approval by enforcement agency of the Certificate of Compliance that provides the specifications for the energy
efficiency measures for the scope of responsibility for this Installation Certificate.
Date: 2/4/2019 12:00:00 AM
§130.4(b) Before an Energy Management Control System (EMCS), or Lighting Control System can be recognized for compliance with
the lighting control requirements in Part 6 of Title 24, the person who is eligible under Division 3 of the Business and Professions Code
to accept responsibility for the construction or installation of features, materials, components, of manufactured devices shall sign and
submit this Installation Certificate.
If any of the requirements in this Installation Certificate fail the Energy Management Control System or Lighting Control System
installation requirements, these options for controlling lighting shall not be recognized for compliance with the Building Energy
Efficiency Standards.
Check all that apply
PART 1 What type of Lighting Control System has been installed?
r A. Energy Management Control System (EMCS) - Is a computerized control system designed to regulate the energy
consumption of a building by controlling the operation of energy consuming systems, such as the heating,
ventilation and air conditioning (HVAC), lighting, and water heating systems, and is capable of monitoring
environmental and system loads, and adjusting HVAC operations in order to optimize energy usage and respond to
demand response signals.
r The Energy Management Control System has been installed to function as a lighting control required by Part
6 and functionally meets all applicable requirements for each application for which it is installed, in
accordance with Sections 110.9, 130.0 through 130.5, 140.6 through 150.0, and 150.2; and complies with
Reference Nonresidential Appendix NA7.7.2.
r The EMCS has been separately tested for each respective lighting control system for which it is installed to
function as.
17 B. Lighting Control System - Requires two or more components to be installed in the building to provide all of the
functionality required to make up a fully functional and compliant lighting control.
This is page 1 of 5
Newport
This is page 2 of 5
The installed Lighting Control System complies with the requirements checked below; and all components of
the system considered together as installed meet all applicable requirements for the application for which
they are installed as required in Sections 130.0 through 130.5, Sections 140.6 through 140.8, Section 141.0,
and Section 150.0(k).
PART 2 Lighting Control Functional requirements: Check all that apply when verifying
the installation of an EMCS or Lighting Control System.
I7 A. All lighting controls and equipment have been installed in accordance with the manufacturer's instructions.
iJ B. The manufacturer has provided instructions for calibration.
I7 C. If indicator lights are integral to any components, such indicator_ lights consumes no more than 1 watt of power
- - per indicator light: - - -- -
P-----D.-Components-that-are-regulated-by-the-Title-20Appliance-Efficiency Regulations have beencertifiedto the Energy
Commission.
F E. The EMCS or Lighting Control System functions as one or more of the Time -Switch Lighting Controls checked
below, and complies with all of the following requirements:
r 1. Automatic Time -Switch Controls meeting all requirements for Automatic Time Switch Control devices in the
Title 20 Appliance Efficiency Regulations, including the requirements below:
a. Residential automatic time -switch controls have program backup capabilities that prevent the loss of the
device's schedule for at least 7 days, and the device's date and time for at least 72 hours if power is
interrupted.
b. Commercial automatic time -switch controls meet the following requirements:
i. Has program backup capabilities that prevent the loss of the device's schedule for at least 7 days, and the
device's date and time for at least 72 hours if power is interrupted
it. Is capable of providing manual override to each connected load and shall resume normally scheduled
operation after manual override is initiated within 2 hours for each connected load and
iii. Incorporates an automatic holiday shutoff feature that turns off all connected loads for at least 24 hours
and then resumes normally scheduled operation.
WV 2. Astronomical Time -Switch Controls meeting all requirements for Astronomical Time -Switch Control devices
in the Title 20 Appliance Efficiency Regulations, including the requirements below:
a. Meets the requirements of an automatic time -switch control
b. Has sunrise and sunset prediction accuracy within plus -or -minus 15 minutes and timekeeping accuracy
within 5 minutes per year
c. Is capable of displaying date, current time, sunrise time, sunset time, and switching times for each step
during programming
d. Has an automatic daylight savings time adjustment; and
e. Has the ability to independently offset the on and off for each channel by at least 99 minutes before and
after sunrise or sunset.
r 3. Multi -Level Astronomical Time -Switch Controls, in addition to meeting all of the requirements for
Astronomical Time -Switch Controls, includes at least 2 separately programmable steps per zone.
P F. The EMCS or Lighting Control System functions as one or more of the Daylighting Controls listed below:
This is page 2 of 5
(� 1. Automatic Daylight Controls meet all requirements for Automatic Daylight Control devices in the Title 20
Appliance Efficiency Regulations, including the following:
a. Is capable of reducing the power consumption in response to measured daylight either directly or by
sending and receiving signals;
b. If the system includes a dimmer, complies with the Dimmer Control device requirements in the Title 20
Appliance Efficiency Regulations.
c. Automatically return to its most recent time delay settings within 60 minutes when put in calibration
mode;
d. Has a set point control that easily distinguishes settings to within 10 percent of full scale adjustment;
e. Has a light sensor that has a linear response within 5 percent accuracy over the range of illuminance
measured by the light sensor;
f. Has a light sensor that is physically separated from where the calibration adjustments are made, or is
capable of being calibrated in a manner that the person initiating the calibration is remote from the sensor
during calibration to avoid influencing calibration accuracy; and
g. Complies with the Title 20 requirements for photo controls if the system contains a photo control
component.
I� 2. Photo Controls meet all requirements for Photo Control devices in the Title 20 Appliance Efficiency
Regulations, including the following that it does not have a mechanical device that permits disabling of the
control.
I� G. The EMCS or Lighting Control System functions as a Dimmer and meets all requirements for a Dimmer Control
device in the Title 20 Appliance Efficiency Regulations, including the following:
1. Is capable of reducing power consumption by a minimum of 65 percent when the dimmer is at its lowest level;
2. Includes an off position which produces a zero lumen output; and
3. Does not consume more than i watt per lighting dimmer switch leg when in the off position.
4. Dimmer controls that can directly control lamps provide electrical outputs to lamps for reduced flicker operation
through the dimming range so that the light output has an amplitude modulation of less than 30 percent for
frequencies less than 200 Hz without causing premature lamp failure.
5. If designed for use in three way circuits is capable of turning lights off, and to the level set by the dimmer if the
lights are off.
r H. The EMCS or Lighting Control System meets the following requirements:
1. Is capable of automatically turning off controlled lights in the area no more than 30 minutes after the area has
been vacated;
2. Allows all lights to be manually turned off regardless of the status of occupancy; and
3. Has a visible status signal that indicates that the device is operating properly, or that it has failed or
malfunctioned. The visible status signal may have an override switch that turns off the signal.
4. All occupant sensing devices that utilize ultrasonic radiation for detection of occupants meet the Ultrasound
Maximum Decibel Values in the Title 20 Appliance Efficiency Regulations
5. All occupant sensing devices that utilize microwave radiation for detection of occupants meet the radiation
requirements in the Title 20 Appliance Efficiency Regulations
6. Occupant sensing devices incorporating dimming comply with the requirements for dimmer controls in the Title 20
Appliance Efficiency Regulations
7. The EMCS or Lighting Control System functions as one or more of the Occupant Sensing Controls Checked Below:
r a. Occupant Sensors meeting all applicable requirements for Occupant Sensor Control devices in the Title 20
Appliance Efficiency Regulations
P b. Motion Sensors meeting all applicable requirements for Motion Sensor Controls devices in the Title 20
Appliance Efficiency Regulations, including that motion sensors are rated for outdoor use,
r c. Vacancy Sensors meeting all applicable requirements for Vacancy Sensor Controls devices in the Title 20
Appliance Efficiency Regulations, including the following:
i. Does not turn on lighting automatically and does not incorporate DIP switches, or other manual means, for
conversion between manual and automatic functionality;
ti. Has a grace period of no more than 30 seconds and no less than 15 seconds to turn on lighting
automatically after the sensor has timed out; and
ill. Does not have an override switch that disables the sensor.
This is page 3 of 5
Fp_,.iect Nerve Mn Atlhnr Court Parkin. structure IIE.forcement A.enev: CITY OF NEWPORT BEACH IftmtitNumber E2019-0110
nu C.." llCily: Newport Beach IIZ, Cade. 92000
r J. Partial -ON Sensors meeting all applicable requirements for partial on sensing devices in the Title 20
Appliance Efficiency Regulations, including the following:
i. Has two poles each with automatic -off functionality;
ii. Has one pole that is manual -on and does not incorporate DIP switches, or other manual means, for
conversion between manual and automatic functionality; and
in. Has one pole that is autornatic-on and is not be capable of conversion by the user to manual -on
functionality.
r e. Partial -OFF Sensors meet all applicable requirements for partial off sensing devices in the Title 20
Appliance Efficiency Regulations, including the following:
I. Has two poles;
ii. Has one pole that is manual -on and manual off; and
iii. Has one pole that is automatic -on and automatic -off and is not capable of conversion by the user to
manual -on only functionality.
r I. Occupant Sensing Control systems consist of a combination of single or multi-level Occupant, Motion, or
Vacancy Sensor Controls, and all components installed to comply with manual -on requirements are not
capable of conversion by the user from manual -on to automatic -on functionality.
PART 3 Requirements for which the control is being installed to complied with:
Identify all requirements in the Standards for which the EMCS or Lighting Control System is installed to function as and complies
with:
Check all that are applicable.
F
A. Section 130.1(a) Area Controls.
r
B. Section 130.1(b) Multi -Level Lighting Controls
r
C. Section 130.1 (c) Shut -OFF Controls
r
D. Section 130.1 (d) Automatic Daylighting Controls.
r
E. Section 130.1 (e) Demand Responsive Controls.
r
F. Section 130.5 (d) Circuit Controls for 120 -Volt Receptacles.
F
G. To qualify for the PAT for a Partial -ON Occupant Sensing Control in TABLE 140.6-A
r
H. To qualify for the PAF for an occupant sensing control controlling the general lighting in large open plan office
areas above workstations, in accordance with TABLE 140.6-A
r
I. To qualify for the PAF for a Manual Dimming System PAT or a Multiscene Programmable Dimming System PAT in
TABLE 140.6-A
r
3. To qualify for the PAF for a Demand Responsive Control in TABLE 140.6-A
F
K. To qualify for the PAF for Combined Manual Dimming plus Partial -ON Occupant Sensing Control in TABLE 140.6-A
This is page 4 of 5
TE OF
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Acceptance document is accurate and complete.
Documentation Author David Thompson Company Name
Name
Address
11660 Western Ave
Zip Code 90680
CEA/ATT Certification
Identification if TC-AB13694
applicable)
Date of Signature: 09/10/7019
City
Phone
KO
PEM
Signorine
1 /1
PEM Evans, Inc.
Stanton
(714)373-0050
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I out the Field Technician, or the Field Technician is actino on my behalf as my employee at my agent and i have reviewed the information provided on this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Bu sloe ss and Professions Code In the appl l no b le classification to accept responsibility for the system de s i a it
construction a in sta Oati on of features, materials, components, or manufactured devices for the scope of we it identified on this Certificate of Acceptance and
attest to the declarations in this statement (responsible acceptance person).
3. The Information provided on this Certificate of Acceptance sabstantiates that the constructlon or installation identified on this Certificate of Acceptance
complies with the acceptance requirements indicated In the plans and specifications approved by the enforcement agency, and confornns to the applicable
acceptance requirements and procedures specified in Reference Nom-esidentlal Appendix NA7.
4. I have confir'nned that the Certificate(s) of Installation for the construction or installation Identified on this Certificate of Acceptance has been completed and
is posted or made available with the building permit(s) issued for the building.
5. I will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable Inspections. I understand that a signed copy of this Certificate of Acceptance Is
required to be included e<ith the documentation the builder' provides to the building tenet at occupancy.
Responsible Acceptance id ThCompany Nonni
David ompson
Person Name PEM Evans, Inc.
Address: 11660 Western Ave City Stanton
Zip Cade 90680 Phone (714)373-0050
CSLB License Position with Company
703752 (Title) VP Operations
Responsible Acceptance Person Signature
Date of Signatr re: 09/10/2019
This is page 5 of 5
Enforcement Agency Use: Checked by/Date
LIGHTING CONTROL ACCEPTANCE DOCUMENT
Automatic Shut-off Controls: Automatic Time Switch Control and Occupant Sensor
Intent: Lights are binned off or set to a lower level when not needed per Section 110.9(a) & 130.1(c).
A. Construction Inspection
Fill out Section A to cover spaces 1 through 3 that are functionally tested under Section B.
Instruments needed to perform tests include, but are not limited to: hand-held amperage meter, power meter, or light meter
1: Automatic Time Switch Controls Construction Inspection—confirm for all listed in Section B
a. All automatic time switch controls are programmed for (check all):
P Weekdays r Weekend P Holidays
b. Document for the owner automatic time switch programming (check all):
Weekday settings r Weekend settings r Holidays settings r Set-up settings
Preference program setting r Verify the correct time and date is properly set in the time switch
!J Verify the battery is installed and energized P Override time limit is no more than 2 hours
r Occupant Sensors and Automatic Time Switch Controls have been certified to the Energy Commission in accordance with
the applicable provision in Section 110.9 of the Standards, and model numbers foi all such controls are listed on the Commission
database as Certified Appliance and Control Devices
2. Occupancy Sensor Construction Inspection—confirm for all listed in Section B
P Occupancy sensors are not located within 4 feet of any HVAC diffuser
17 Ultrasonic occupancy sensors do not emit audible sound 5 feet from source
This is page I of 7
BEACH
B. Functional Testing of Lighting Controls
For every space in the building, conduct functional tests 1 through 5 below if applicable. If there are several geometrically similar spaces
that use the same lighting controls, test only one space and list in the cells below which "untested spaces" are represented by that
tested space. EXCEPTION: For buildings with up to seven (7) occupancy sensors, all occupancy sensors shall be tested. (NA7.6.2.3)
Representative Spaces Selected
Tested space/room name: Level 2
Space Type (office, corridor, etc) Parking Structure
Untested areas/rooms Ground floor, 3 & 4
Confirm compliance-forall control systemtypes (1-5) presentin each space:
1. Automatic Time Switch Controls
Step 1: Simulate occupied condition
a. All lights can be turned on and off by their respective area control switch r
b. Verify the switch only operates lighting in the ceiling -height partitioned area in r
which the switch is located.
Step 2: Simulate unoccupied condition
a. All lighting, including emergency and egress lighting, turns off. Exempt lighting may
remain on per Section 130.1(c)1 and 130.1(a)1.
b. Manual override switch controls only the lights in the selected ceiling height
partitioned space where the override switch is located and the lights remain on no
longer than 2 hours (unless serving public areas and override switch is captive key r
type).
Step 3:
System returned to initial operating conditions
2. Occupancy Sensors
Step 1: Simulate an unoccupied condition
a. Lights controlled by occupancy sensors turn off within a maximum of 20 minutes r
from start of an unoccupied condition per Standard Section 110.9(b)
b. The occupant sensor does not trigger a false 'on' from movement in an area r
adjacent to the controlled space or from HVAC operation.
Step 2: Simulate an occupied condition
a. Status indicator of annunciator operates correctly r
b. Lights controlled by occupancy sensors turn on immediately upon an occupied
condition OR sensor indicates space is 'occupied' and lights may be turned on r
manually
This is page 2 of 7
Step 3:
System returned to initial operating conditions r
3. Partial Off Occupancy Sensor
Step 1: Simulate an unoccupied condition
a. Lights go to partial off state within a maximum of 20 minutes from start of an
unoccupied condition per Standard Section 110.9(a)
b. The occupant sensor does not trigger a false 'on' from movement in an area
adjacent to the controlled space of fiom HVAC operation. For library book stacks or
warehouse aisle, activity beyond the stack m aisle shall not activate the lighting in
the aisle or stack. r
c. In the partial off state, lighting shall consume no more than 50% of installed lighting
power, or:
No more than 60% of installed lighting power for metal halide or high pressure
sodium lighting in warehouses.
No more than 60% of installed lighting power for corridors and stairwells in which
the installed lighting power is 80% or less of the value allowed under the Area
Category Method.
Light level may be used as a proxy for lighting power when measurements are taken r
Step 2: Simulate an occupied condition
The occupant sensing controls shall turn lights fully ON in each separately controlled
areas, Immediately upon an occupied condition r
4. Partial On Occupancy Sensors
Step 1. -Simulate an occupied condition. Verify partial on operation.
a. Immediately upon an occupied condition, the first stage activates between 50 to r
70% of the lighting automatically.
b. After the first stage occurs, manual switches allow an occupant to activate the
alternate set of lights, activate 100% of the lighting power, and manually
deactivate all of the lights. r
Step 2. Simulate an unoccupied condition
a. Both stages (automatic on and manual on) lights turn off within a maximum of 20
minutes from start of an unoccupied condition per Standard Section 110.9(a) r
b. The occupant sensor does not trigger a false 'on' from movement in an area r
adjacent to the controlled space of from HVAC operation.
This is page 3 of 7
5. Adgtional test for Occupancy Sensors Serving Small Zones in Office Spaces Larger than
250 ft , to Qualify for a Power Adjustment Factor (PAF)
Step 0: First, complete Functional Test 2 (above) for each controlled zone.
Step 1: Verify area served and compare actual PAF with claimed PAF. Refer to Functional Test 2.
a. Area served by controlled lighting ft2
b. Enter PAF corresponding to controlled area from line (a) above (<125 ft2 for
PAF=0.4, 126-250 ft2 for PAF=0.3, 251-500 ft2 for PAF=0.2).
c. Enter PAF claimed for occupant sensor control in this space from the Certificate of
Compliance.
J. The PAF corresponding to the controlled area (line b), is greater than or equal to r_
the PAF claimed in the compliance documentation (line c).
e. Sensors shall not trigger in response to movement in adjacent walkways of r_
workspaces
f. All steps are conducted in Functional Test 2 'Occupancy Sensor (On Off Control)' r
and all answers are Yes.
This is page 4 of 7
CITY OF NEWPORT BEACH
C. Testing Results
1. Automatic Time Switch Controls (all answers must be Yes). r
2. Occupancy Sensor (On Off Control) (all answers must be Yes). r-
3.
3. Partial Off Occupancy Sensor (all answers must be Yes). For warehouses, library
book stacks, corridors, stairwells in nonresidential buildings must also be
accompanied by passing Test 1 or Test 2.
4. Partial On Occupant Sensor for PAF (all answers must be Yes). r-
5.
5. Occupant Sensor serving small zones for PAF (all answers must be Yes). Also must r
pass Test 2.
D. Evaluation :
P PASS: All applicable Construction Inspection responses are complete and all applicable
Equipment Testing Requirements responses are positive.
This is page 5 of 7
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1 cerH fy that it) ls Certificate of Aecepta nce documentation Is acc on ate and complete.
Docnmanatlaa Author David Thompson Company Name
PEN Evans, Inc.
Name
AddCity 11660 Western Ave y
Stanton
Zip Code 90680 Phone
(714)373-0050
CEA/ATICertification Author Signature
Identification (if TL" -A813694
applicable)
Date of Signature:.- - 09/10/2019 -
FIELD TECHNICIAN'S DECLARATION STATEMENT
I certify the following under penalty of perj my, under the laws of the State of California:
1. The information provided on this Certificate of Acceptance is true and correct.
2. I am the person who performed the acceptance ver i F ca tion reported an this Certificate of Acceptance (Field Technician).
3. The cons It it an on m- in s tai l ation identified on this Certificate of Acceptance complies with the applicable acceptance reg u i rements indicated in the plans and
specifications approved by the enforcement agency, and conforms to the applicable acceptance requirements and procedures specified in Reference
Nonresidential Appendix NAT.
4. I have confirmed that the Certificates) of Installation for the construction or installation identified on this Certificate of Acceptance has been completed and
signed by the responsible builder/installer and has been posted of made available with the building permits) issued for the building.
Field Technician Name Company Name
David Thompson PEN Evans, Inc.
Address:
11660 Western Ave
Zip Code 90680
ATT Certification T -A81
Identification
Field Technician Signature
Date of Signature: 09/10/2019
— — C-�. - 4 "".
City
Stanton
Phone (714)373-0050
Position with Company
(Title) VP Operations
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. I am the Field Technician, or the Field Technician is acting on my behalf as my employee or my agent and I have reviewed the Information provided on this
Certificate of Acceptance.
2. I am eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction
or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Acceptance and attest to the
declarations in this statement (responsible acceptance person).
3. The information provided on this Certificate of Acceptance substantiates that the construction or Installation identified on this Certificate of Acceptance complies
with the acceptance requirements indicated in the plans and specifications approved by the enforcement agency, and conforms to the applicable acceptance
requirements and procedures specified In Reference Nonresidential Appendix NAT.
4, f have confirmed that the Ce rt lfi cate(s) of Installation for the Construction or installation Identified on this Certificate of Acceptance has been completed antl 1s
posted or made available with the building pennit(s) issued far the building.
5. 1 will ensure that a completed, signed copy of this Certificate of Acceptance shall be posted, or made available with the building permit(s) issued fa- the
building, and made available to the enforcemenL agency for all applicable inspections. I understand that a signed copy of this Certificate of Acceptance is
required to be included with the documentation the builder provides to the building owner at occupancy.
Responsible Acceptance Company Name
Person Name David Thompson PEN Evans, Inc.
Address 11660 Western Ave City Stanton
Zip Code
90680
CSLB License
Responsible Acceptance
Data of Signature: 09/10/201
n
Phone
Position with Company
(Title)
(714)373-0050
VP Operations
This is page 6 of 7
This is page 7 of 7
OF
AUTOMATIC DAYLIGHTING CONTROL ACCEPTANCE DOCUMENT
Enforcement Agency Use: Checked by/Date
Check boxes for all pages of this NRCA-LTI-03-Acompleted and included in this submittal
NRCA-LTI-03-A Page
Construction Inspection. This page required for all submittals.
1&2
13
NRCA-LTI-03-A Page
Continuous dimmingcantrolfunctionalperformancetesi— watt-meteroramp-meter measurement
3&4
13
NRCA-LTI-03-A Page
Stepped Switching/ Stepped Dimming functional performance test —watt-meteror amp -meter measurement
5&6
NRCA-LTI-03-A Page
Continuous dimmingcontrol functional performance test — light meter power measurement, and default look -up
7&8
tableof fraction of rated power versus fraction of rated light output.
C3
NRCA-LTI-03-A Page
Stepped Switching/ Stepped Dimming functional performance test -based on light output
s "10
1. NA7.6.1.1 Construction Inspection:
1. Drawing of Daylit Zones) must be shown on plans or attached to this compliance document. By checking this
box, technician certifies that plans have been attached to this webform
r
Document Name and Page It's
Electrical Drawings Page 2su3
Add Control Systems below, If sampling method is used in accordance with NA7.6. 1.2. if adding, attach a page with names of other controls In sample (only for
buildings with > 5 daylight control systems, sample group glazing same orientation)
IRTEC LRD509
2.
Plans Page Number
Check if Tested Control is Representative of Sample
Zone Type: Skyllt (Sky), Prhnary Sidelit (PS), or Secondary Sidelit (SS)
Corbel Type: Continuous Dimming with more than 10 light levels (C), Stepped Dimming (SD), Switching (SW)
Design Footcandles: (Enter footcandle (fc) value or "U" if unknown):
and Controls
Control Loop Type: Open Loop (OL), Closed Loop (CL)
Sensor Location: Outside (0), Inside Skylight (IS), Near Windows facing out (NW), In Corralled Zone (CZ)
Sensor Location is Appropriate to Control Loop Type: (Yes/No) If control loop type Is Open Loop (OL): Enter yes (1') if location =
Outside (0), Inside Skylight (IS), or Near Windows facing out (NW); otherwise, enter no (N). If Control loop type is Closed Loop
(CL): Enter yes (Y) If location = In Controlled Zone (CZ); otherwise, enter no (N).
Control Adjustments are in Appropriate Location (Yes/No):Yes, If Readily Accessible or Yes if in Ceiling less than or equal to 11 It,
IRTEC LRDS09
3
r
PS
TO
ll
CL
CZ
Yes
Yes
This is page 1 of 5
No for all other.
4. Has Documentation Been Provided by the Installer:
Installation Manuals and Calibration Instructions Provided to Building Owner: (Yes/No) Yes
Location of Light Sensor' On Plans: (Yes/No) Yes
Location of Light Sensor on Plans: (Page Number)
5. Separate Controls of Luminaires. in DaylitZones:
Are lum ina,as controlled by automatic daylighting controls only in daylit zones: (Yes/No) Yes
Separately circuited for daylit zones by windows and daylit zones under skylights: (Yes/No) Yes
6. Daylighting Control Device Certification -
IDaylighting control has been certified in accordance with §110.9: (Yes/No) Yes
Construction Inspection PASS/FAIL. If all responses on Construction Inspection pages 1 & 2 are complete and all Yes/No questions Pass
have a Yes response, the tests PASS; If any responses on this page are incomplete OR there are any No responses, the tests FAIL
PASS/FAIL Evaluation (check one):
r PASS: If all responses on Construction Inspection pages t & 2 are complete and all Yes/No questions have a Yes (Y) response, the
tests PASS
r FAIL: Any applicable Construction Inspection responses are incomplete OR there is one or mare negative (N - no) responses in any applicable
Functional Performance Testing Requirements section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section to -
103(a)36. Fix problems) and retest until the system(s) passes all portions of this test before retesting and resubmitting NRCA-LTI-03-A with PASSED
Last to the enforcement agency. Describe below the failure mode and corrective action needed.
This is page 2 of 5
OF
2. NA7.6.1.2.1 Functional Performance Testing - Continuous Dimming Systems:
Power estimation using light meter measurement
-omplete all tests on page ] & 8 (Pio Daylight Test, Full Daylight Test, and Partial Daylight Test) and fill out Pass/Fail section on Page 8.
SRTEC LRDSO9
6..a..Mn
Step 1: Identify Reference Location
'location where minium daylight illuminance is measured in zone served by the controlled lighting.)
113
. Control Loop Type: Open Loop m' Closed Loop' (O or C)
F
C
U. Indicate if Mandatory control - I (required for skylit zone or primary sideilt zone with installed general lighting pover> Ito W);
73.913043478260 6
for Can b'ol Credit - CC; or Voluntary not for credit -V (M, CC, V)
23
c. If automatic dayilghting controls are mandatory, are all general lighting luminaires in dayllt zones controlled by automatic
Yes
daylight controls'? (Yes/No)
Yes
d. General lighting design foutcandles. (Enter footcandle (FC) value, or "U" if unknown.)
Ll
e. Power estimation method. (see line q) Default ratio of power to light (Dfc), cut -sheet ratio of power to liaht (CSfc) If CSFC
1 ]
attach art -sheet. Enter DO, or CSfc
Yes
Step 1: Identify Reference Location
'location where minium daylight illuminance is measured in zone served by the controlled lighting.)
113
f. Method Used: Illuminance or Distance? (I or D)
17
Override daylight control system and drive electric lights to highest light level for the following:
73.913043478260 6
o. Highest light level fc - enter measured controlled electric lighting footcandles (fc)
23
U. Indicate whether this is Full Output (ED), or Task Tuned (Lumen Maintenance) (TT)
Fo
Step 2: No Daylight Test controls enabled & daylight less than 1 fc at reference location
Yes
I. Method Used: Night time manual measurement (Night), Night Time Illuminance Logg ino (Log), Cover Fenestration (CF), Cover
Open Loop Photosensor (COLP)
Lag
j. Reference Illuminance (footcandles) as measured at Reference Location (see Step 1). Enter footcandles
1 ]
k. Enter Y If either of the following statements are true: If line It = F0; [Reference Illuminance (line j)] / [Full Output to (line g)] >
70"/"? or [Reference Illuminance (line j)] / [design fortcandles (line d)] > 80%7 (Yes/No)
Yes
Step 3: Full Daylight Test conducted when daylight > 150% of reference illuminance (line j)
I. Daylight illuminance (light level with electric lighting turned off) measw'ed at Reference Location Inc)
96
in. Daylight illuminance (line I) greater than Reference Illuminance (line j)' (Yes/No)
Yes
1... is ..1..wti.. 1:.. Mt:.... i� tr..nu#4 rin nm nr nff
n. Total (daylight + electric light) Illuminance measured at the Reference Location Lc).
113
0. Electric lighting illuminance at the Reference Location (fc) [(line Ti) - (line 1)]. -
17
p. Electric lighting Illuminance (line o) divided by Highest Light Level fc (line a). Enter 9n.
73.913043478260 6
q. Dimmed lOmnione taction of rated power. Attach manufactoo is cut -sheet or use default graph of rated power to point output.
Label applicable control system on cut -sheet or graph. Enter fraction of rated Pulver lin °ro.
35
r. System Power Reduction = [I - Ilne q]
65
s. Is System Power Reduction (line r) > 659" when line h = FO, or > 56".o when line In = TT (Yes/No).
Yes
t. with uncontrolled lights also on, no lamps dinned outside of dayliL zone by control (Yes/No).
u. Dimmed iambs have stable output, no perceptible flicker (Yes/No).
Yes
This is page 3 of 5
v. Daylight Dimming plus OFF Controls PAF
No
(This portion of the full daylight test applies to lighting systems that are claiming a PAF For daylight dimming plus OFF controls.
This poition of the full daylight test shall be conducted instead of steps I. Lill u.)
Does the system automatically ew'n OFF the luminaires when full daylight is available? (Yes/No)
between 60% and 950/6
w. Daylight illuminance (light level without electric light) measured at Reference Location (fc).
16
x. Daylight illuminance divided by the Reference Illuminance = (line w )/ (line j). Enter st.
94.117647058823. 2
y. Is Ratio of Daylight it lundnance to Ref. illuminance (line x) between 60P% and 95%? (Yes/No).
Yes
z. Tolal (daylight r electric light)) lluminauce measured at the Reference Location (fc).
24
aa. Total illuminance divided by the Reference Illuminance = (line z If (line j), Enter %.
14 1.1764 70 58823 -
bb. Is Total illuminance divided by the Reference illuminance (line m) between 100�9a and 1504'0? (Yes/No).
Yes
PA55/FAIL Evaluation (check one):
f' PASS: All applicable Construction Inspection responses are complete and all applicable Functional Performance Testing Requirements responses are
positive (Y - yes)
( FAIL: Any applicable Cmbsb uction Inspection responses are incomplete OR there is one or more negative (N - no) responses in any applicable
Fu ncti on a Perim ma n ce To shng Req ui rent ents section. System does not pass and is NOT eligible for Certificate of Occupancy according to Section 10-
103(a)3B. Fix pi'o blem(s) and retest until the sys card (s) passes all portions of this test before retesting and resubmitting N RCA-LTI-0 3 -A with PASSED
test to the enforcement agency. Describe below the failure nmde and corrective action needed.
This is page 4 of 5
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I ter Fit) tort tII's Cmtlncace of Action ance aoamentation Is accurate ane ..melee.
ooarmenotion Aided, Name Company donee
Llavhl lllontpson REM Evans, loco
Arm.... city
alp C one phone
Cioll rerobcanon lanellit upn If tophi slanamre
11 'able)
Do" of secon",-
FIELD TECHNICIAN'S DECLARATION STATEMENT
1 certify the following order penalty of Ver]wy, order the laws of the State of California.
1. The Inioreari coal an NIs Certificate discrete.— Is true hall correct.
21 am [M1e person wba so III the acceptione, verification reported on this Certlflcate of Acceptance (FeICI TeNniclan).
i. The consboction or installation InenUfled an this Cetllfica[e of Acceptance camplles wibr rhe applicable acceptance requirement Intlicaten in the plans ervI "odficallons app o -d by tire enforcement hairdo red
onlnrnr5 to "" noterbl3 e'reptante frople Erne it, roll ,,oRtlura, recouped In paper nonresidential Appendix Nor.
Vo l hay an firmed that lire CeNncatel of I lstallator) or the mnstructiun or Installation identified on this Certificate of Acceptance has Veen anopheles and sfaced by the responsible bultler/installer alit nes oeen
VOFtetl ai node enfrhle fit, billion aero@(sl issued farthe 17 li ing.
ha'. I'echniden Nanr3 Co»rpany IOcelotTlrompzon pEfl Evans. Inc.
Address: GYN
Thp Colo phone
Al le. tlllrahon Identlnsetl n Position with Caapany Tidal
Felh The Milian Slgnatore
!late of 5lgnalure.'.
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I earthy bre mlluenng under penalty or p sji unser tee low, of tee State of Callrornla:
1. I am tee Feld Tecenitlan, or tile Fleld Tecioicen Is acting on Iny eeealf as my elllphoyee or'rny event roil I hear reviewed hill Information Vra ltlecl on Ils, Certificate of Acceptance.
]..l anh efrglble nutlet erporn 3 of the lushness and professions Code be IF, appllgele daSSli..bon to areeNt respm611tllie for hes, lefem drat can4mc ien or Installation of features, ma@nails conmanea l or
III"
r,Urse ned devices for the scope of work handled an tele Fall of Acceptance and Albert In the centratlons In IN, Intention,, (ro'he lnle ohTptanre persanh.
d.Tie Infernal....providedanbay t%tfcoi of Acceptance substantiates teatteemnsh rental or InSellatlon I denbnedo nIll, CehlifhWteor%.... ance......I les wilt the a rofeet. contortions u lPded In Ne plans
and specifications approved by the core ca ..ant agency, and conforms to tee applicable acceptance repulrchoods and procedures specified In Reference Nonresidential troffeix NAT
1,1 lave Ink, not that toe CertRhc oli el lnstalb il,lon rnr Ho mnsholtion or instillation identfed on I'll, Cmarcane of Acceptance las been compl.l,d and s posted or made a, strike v➢bh till huddng do .... lt(sl
1,vad for the huhdbna.
1 will ereare theta mnhploorlsigned ropy of are CeNncat'e or Acceptance shall Ue posted.. Wade replied, mIU till lhullJing Enrolls) railed for We buildini and node reflloat, to tel end,so G I agenry or all
op"
llcaHo Iopertl.ns, I nndersbnd that a signed copy .1 thin Cert) este of ecceptanee I5 regtdrell to bne Iturfed wIN Irl d.canhenhRlon the bulkier p.nvldesla fill building older t eccupaney.
hesponieffe Acceptance pen son Name Cawood, Name
Address: City
Zip cpda_ phone
1SrI brans. Position with Cumpanv tTtel
Rei ARaptr ll versod signatne
Falls el Skgnrtnre'
This is page 5 of 5